| NPI | 1649417460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 12023708) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |